Endoscopic deep periorbital lifting: study and results based on 50 consecutive cases

Area of Science:

• Plastic Surgery
• Facial Rejuvenation Techniques

Background:

• Aging affects the upper two-thirds of the face, leading to aesthetic concerns.
• Traditional lifting techniques may have limitations in addressing periorbital and midface aging.

Purpose of the Study:

• To evaluate the efficacy and outcomes of endoscopic deep periorbital lifting.
• To assess the technique's impact on eyelid height, nasolabial folds, and cheekbone prominence.

Main Methods:

• A consecutive series of 50 patients undergoing endoscopic deep periorbital lifting between 1995 and 1999.
• The operative principle involves suspending premalar tissues to the superficial temporal aponeurosis.
• Subperiosteal undermining of premalar tissue was employed for optimal results.

Main Results:

• 70% of patients achieved good to excellent aesthetic outcomes.
• The procedure effectively decreased inferior eyelid height and corrected nasolabial folds.
• Enhanced relief of the cheekbone was observed postoperatively.

Conclusions:

• Endoscopic deep periorbital lifting is an effective method for upper facial rejuvenation.
• Careful management of cutaneous palpebral resection (≤5 mm) is crucial to avoid complications like 'round eye'.
• Subperiosteal undermining offers superior results and reduces the risk of facial nerve paresis.